Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
John Wayne Miles death at Port Morien, Cape Breton County on July 11, 1971
Male Death Registration: Year: 1971 number: 4527
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004527
1. PLACE OF DEATH County of Cape Breton If in City or Town Port Morien
If death occured in a hospital or institution Port Morien Harbour
3. PRINT NAME OF DECEASED Miles, John Wayne
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Glace Bay
9. DATE OF BIRTH 1 25, 1965
10. AGE in Years6 Months5 Days16 | hrs or mins
11. Trade or profession Child
12. Kind of industry At School
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Roy Miles
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Ethel Drinkwater
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Roy A. Miles
address RR #1, Port Morien, Cape Breton
Relationship to deceased Father
21. Place of burial Port Morien, Cape Breton
Date of burial July 15, 1971
22. Undertaker Patten's Funeral Home Ltd., Glace Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 11, 1971
CAUSE OF DEATH
(a) Asphyxiation drowning
(b)
(c)
other Accident
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